Individual
KATRINA ELLEN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1260 EKHART ST NE, GRAND RAPIDS, MI 49503-1380
(616) 965-3492
(616) 942-0589
Mailing address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30900
MI
Other
Enumeration date
02/16/2016
Last updated
12/19/2023
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